The PD-ROBOSCORE: A difficulty score for robotic pancreatoduodenectomy

التفاصيل البيبلوغرافية
العنوان:	The PD-ROBOSCORE: A difficulty score for robotic pancreatoduodenectomy
المؤلفون:	Napoli, Niccolò, Cacace, Concetta, Kauffmann, Emanuele F, Jones, Leia, Ginesini, Michael, Gianfaldoni, Cesare, Salamone, Alice, Asta, Fabio, Ripolli, Allegra, Di Dato, Armando, Busch, Olivier R, Cappelle, Marie L, Chao, Ying Jui, de Wilde, Roeland F, Hackert, Thilo, Jang, Jin-Young, Koerkamp, Bas Groot, Kwon, Wooil, Lips, Daan, Luyer, Misha D P, Nickel, Felix, Saint-Marc, Olivier, Shan, Yan-Shen, Shen, Baiyong, Vistoli, Fabio, Besselink, Marc G, Hilal, Mohammad Abu, Boggi, Ugo
المساهمون:	Napoli, Niccolò, Cacace, Concetta, Kauffmann, Emanuele F, Jones, Leia, Ginesini, Michael, Gianfaldoni, Cesare, Salamone, Alice, Asta, Fabio, Ripolli, Allegra, Di Dato, Armando, Busch, Olivier R, Cappelle, Marie L, Chao, Ying Jui, de Wilde, Roeland F, Hackert, Thilo, Jang, Jin-Young, Koerkamp, Bas Groot, Kwon, Wooil, Lips, Daan, Luyer, Misha D P, Nickel, Felix, Saint-Marc, Olivier, Shan, Yan-Shen, Shen, Baiyong, Vistoli, Fabio, Besselink, Marc G, Hilal, Mohammad Abu, Boggi, Ugo
سنة النشر:	2023
المجموعة:	ARPI - Archivio della Ricerca dell'Università di Pisa
الوصف:	Background: Difficulty scoring systems are important for the safe, stepwise implementation of new procedures. We designed a retrospective observational study for building a difficulty score for robotic pancreatoduodenectomy. Methods: The difficulty score (PD-ROBOSCORE) aims at predicting severe postoperative complications after robotic pancreatoduodenectomy. The PD-ROBOSCORE was developed in a training cohort of 198 robotic pancreatoduodenectomies and was validated in an international multicenter cohort of 686 robotic pancreatoduodenectomies. Finally, all centers tested the model during the early learning curve (n= 300). Growing difficulty levels (low, intermediate, high) were defined using cut-off values set at the 33rd and 66th percentile (NCT04662346). Results: Factors included in the final multivariate model were a body mass index of ≥25 kg/m2 for males and ≥30 kg/m2 for females (odds ratio:2.39; P < .0001), borderline resectable tumor (odd ratio:1.98; P < .0001), uncinate process tumor (odds ratio:1.69; P < .0001), pancreatic duct size <4 mm (odds ratio:1.59; P < .0001), American Society of Anesthesiologists class ≥3 (odds ratio:1.59; P < .0001), and hepatic artery originating from the superior mesenteric artery (odds ratio:1.43; P < .0001). In the training cohort, the absolute score value (odds ratio= 1.13; P= .0089) and difficulty groups (odds ratio= 2.35; P= .041) predicted severe postoperative complications. In the multicenter validation cohort, the absolute score value predicted severe postoperative complications (odds ratio= 1.16, P < .001), whereas the difficulty groups did not (odds ratio= 1.94, P= .082). In the learning curve cohort, both absolute score value (odds ratio:1.078, P= .04) and difficulty groups (odds ratio: 2.25, P= .017) predicted severe postoperative complications. Across all cohorts, a PD-ROBOSCORE of ≥12.51 doubled the risk of severe postoperative complications. The PD-ROBOSCORE score also predicted operative time, estimated blood loss, and vein resection. ...
نوع الوثيقة:	article in journal/newspaper
اللغة:	English
Relation:	info:eu-repo/semantics/altIdentifier/pmid/36973127; info:eu-repo/semantics/altIdentifier/wos/WOS:001001870300001; volume:173; issue:6; firstpage:1438; lastpage:1446; numberofpages:9; journal:SURGERY; https://hdl.handle.net/11568/1190387; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85150790878; https://www.surgjournal.com/article/S0039-6060(23)00109-5/fulltext
DOI:	10.1016/j.surg.2023.02.020
الاتاحة:	https://hdl.handle.net/11568/1190387 https://doi.org/10.1016/j.surg.2023.02.020 https://www.surgjournal.com/article/S0039-6060(23)00109-5/fulltext
Rights:	info:eu-repo/semantics/openAccess
رقم الانضمام:	edsbas.ADE126AE
قاعدة البيانات:	BASE

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الوصف
DOI:	10.1016/j.surg.2023.02.020